A nurse is discussing factors that influence communication with a group of newly licensed nurses. Which of the following information should the nurse include?

Hearing loss is considered a development factor that has minimal effect on nurse-client communication.

Clients who have developmental deficits are less distracted by environmental noises than client who do not have these deficits.

Nurses might focus on a client's physiological needs over psychosocial needs when communicating during care.

Nurses caring for clients experiencing a highly emotional situation report that communication is rarely affected.

Answer and Explanation

The Correct Answer is D

A.   Hearing loss is a significant factor that can significantly impact nurse-client communication. Clients with hearing loss may have difficulty understanding what is being said, leading to misunderstandings and frustration.
B.   Clients with developmental deficits may be more sensitive to environmental noises and distractions, which can make it difficult to focus on communication.
C.   This can be a significant barrier to effective communication, as it can lead to neglecting the client's emotional and psychological needs. It's important for nurses to be aware of this tendency and to make a conscious effort to address both the physical and emotional needs of their clients.
D.   Emotional factors can significantly affect communication. When clients are experiencing a highly emotional situation, they may be more likely to become overwhelmed, anxious, or defensive, which can make it difficult to communicate effectively.

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Correct Answer is D

Explanation

A. When a client has a fever, they are at increased risk for dehydration due to fluid loss through sweating and increased metabolic rate. The nurse should encourage adequate fluid intake to help keep the client hydrated.
B. This action is contraindicated. A warming blanket would further elevate the client's body temperature, which is counterproductive when managing a fever. The goal is to help the client cool down, not warm them up.
C. Increasing the room temperature is not advisable. A warmer environment could make the client feel more uncomfortable and may exacerbate their fever. Instead, the nurse should consider cooling measures.
D. Removing excess clothing can help the client cool down and make them more comfortable. It allows for better heat dissipation and can aid in lowering body temperature.

A. SDOH are conditions in an individual's environment that affect their well-being. B. SDOH are determined by an individual's ethnic background. C. Identifying SDOH increases disparities in health care. D. SDOH include psychological factors.

Correct Answer is A

Explanation

A. Social determinants of health refer to the social and economic conditions that influence health outcomes. This includes factors such as income, education, employment, social support, and access to healthcare. These conditions can significantly impact an individual's overall well-being and health status.
B. While ethnic background can influence health outcomes and access to resources, SDOH are broader and encompass various factors, including socioeconomic status, geographic location, and education level, rather than being solely determined by ethnicity. Therefore, this option oversimplifies the concept of SDOH.
C. Identifying and understanding SDOH is essential for addressing and reducing health disparities, not increasing them. By recognizing these determinants, healthcare providers and policymakers can develop targeted interventions and policies to improve health equity and access to care.
D. While psychological factors, such as mental health and stress, can influence health outcomes, they are not typically categorized under the traditional definition of social determinants of health. SDOH primarily focus on social, economic, and environmental conditions rather than individual psychological factors. However, mental health can be affected by social determinants.

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A nurse is discussing factors that influence communication with a group of newly licensed nurses. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an oral temperature of 39.5° C (103.1° F). Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is assisting with preparing an educational session at a community health center about the social determinants of health (SDOH). Which of the following information should the nurse include?

Correct Answer is A

Explanation

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